Korean J Neurotrauma.
2022 Oct;18(2):404-409. 10.13004/kjnt.2022.18.e65.
Spinal Cord Infarction After Transarterial Chemoembolization for Hepatocellular Carcinoma
- Affiliations
-
- 1Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea
- KMID: 2538480
- DOI: http://doi.org/10.13004/kjnt.2022.18.e65
Abstract
- Transarterial chemoembolization (TACE) is an effective treatment for unresectable hepatocellular carcinoma (HCC). It is considered relatively safe. However, fatal complications such as pulmonary edema and liver abscesses can occur. Spinal infarction due to local embolism of the central nervous system after TACE is a very rare, but fatal complication. Here, we report a case of spinal cord infarction after TACE for ruptured HCC. Paraplegia occurred at the T10 sensory level 6 hours after the procedure. The patient received steroid megadose therapy but died 5 days later due to exacerbation of metabolic acidosis and blood loss. This case demonstrates the need for a comprehensive and extensive study of arterial blood flow prior to angiography.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Chemoembolization through Intercostal Arteries in Hepatocellular Carcinoma' Report of A Case of Transient Spinal Cord Injury
- Complications Related to Transarterial Treatment of Hepatocellular Carcinoma: A Comprehensive Review
- Efficacy of Hepatic Arterial Infusion Chemotherapy and Radiofrequency Ablation against Hepatocellular Carcinoma Refractory to Transarterial Chemoembolization and Vascular Variation: A Case Study
- Transarterial Chemoembolization in Patients with Hepatocellular Carcinoma and Extrahepatic Metastasis
- Comparison of surgical resection versus transarterial chemoembolization with additional radiation therapy in patients with hepatocellular carcinoma with portal vein invasion
